<?php
$this->load("header");
$this->navbar();

?>
<div class="bread_crumb" style="margin-left: 2%">
    &laquo;  <a href="manage_users_controller">Back</a>
  </div>
<div class="add_div">
    <h1>New Enquiry</h1>
    <form role="form"  action=""  method="POST">
        <div class="form-group" id="add_field">
            <label for="exampleInputEmail1">Enquiry #</label>
            <input type="text" class="form-control" id="exampleInputEmail1"  name="enquiry" readonly="readonly">
        </div>
        <div class="form-group"  id="add_field">
            <label for="exampleInputPassword1">Student Name</label>
            <input type="text" class="form-control" id="exampleInputPassword1" name="studentname" required="required">
        </div>
        <div class="form-group"  id="add_field">
            <label for="exampleInputPassword1">Father</label>
            <input type="text" class="form-control" id="exampleInputPassword1" name="father" required="required">
        </div>
        <div class="form-group"  id="add_field">
            <label for="exampleInputPassword1">Admission to class/group</label>
            <input type="text" class="form-control" id="exampleInputPassword1" name="admtoclass" required="required" >
        </div>
        <div class="form-group"  id="add_field">
            <label for="exampleInputPassword1">Previous School/College</label>
            <input type="text" class="form-control" id="exampleInputPassword1" name="preschool" required="required">
        </div>
        <div class="form-group"  id="add_field">
            <label for="exampleInputPassword1">Address</label>
            <input type="text" class="form-control" id="exampleInputPassword1" name="address" required="required">
        </div>
        <div class="form-group"  id="add_field">
            <label for="exampleInputPassword1">street</label>
            <input type="text" class="form-control" id="exampleInputPassword1" name="street" required="required" >
        </div>
        <div class="form-group"  id="add_field">
            <label for="exampleInputPassword1">Area</label>
            <input type="text" class="form-control" id="exampleInputPassword1" name="area" >
        </div>
        <div class="form-group"  id="add_field">
            <label for="exampleInputPassword1">Status</label>
            <select class="form-control" required="required" name="status">
                <option>Day Scholar</option>
                <option>Day Boarder</option>
                <option>Hosteler</option>
            </select>
        </div>
        <div class="form-group"  id="add_field">
            <label for="exampleInputPassword1">Phone</label>
            <input type="text" class="form-control" id="exampleInputPassword1" name="phone" >
        </div>
        <div class="form-group"  id="add_field">
            <label for="exampleInputPassword1">Mobile</label>
            <input type="text" class="form-control" id="exampleInputPassword1" name="mobile" required="required">
        </div>
        <div class="form-group"  id="add_field">
            <label for="exampleInputPassword1">Name of the Coordinator</label>
            <input type="text" class="form-control" id="exampleInputPassword1" name="coordinator">
        </div>
        <div class="form-group"  id="add_field">
            <label for="exampleInputPassword1">Remarks</label>
            <textarea class="form-control" rows="3" name="remarks"></textarea>
        </div>


        <div style="clear: both;float:right">
            <button type="submit" class="btn btn-Success" >Save</button></div>
    </form>

</div>
<?php
$this->load("footer");
?>
